Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.33 / $150.33 / $150.33	Facility		$150.33	$150.33	$150.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.57 / $87.57 / $400.00	Professional		$87.57	$87.57	$400.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,020.00 / $1,020.00 / $1,782.00	Facility		$1,020.00	$1,020.00	$1,782.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $630.00	Professional		$600.00	$600.00	$630.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.75 / $382.57 / $9,999.99	Professional		$195.75	$382.57	$9,999.99
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $375.30 / $793.25	Professional		$275.00	$375.30	$793.25
Hally Health Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Facility		$100.00	$100.00	$100.00
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $319.77 / $320.45 / $340.47	Professional		$319.77	$320.45	$340.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $2,500.00	Professional		$30.00	$40.00	$2,500.00
United Facility/Professional Professional Modifier Low / Median / High Price $367.00 / $367.00 / $420.00	Professional		$367.00	$367.00	$420.00